Does Mcs Advantage, INC. require prior authorization for Novolin R?
Mcs Advantage, INC. does not require prior authorization for Novolin R on the Medicare Part D plans that cover it.
No covering plan from this payer files a prior-authorization requirement for this drug.
- This drug does not appear on any of this payer's Medicare Part D formularies. That means it is NOT COVERED under those plans — which is a different and generally worse outcome than requiring prior authorization. An exception or formulary-exception request may still be possible.
By product strength
| RxNorm product | Plans covering | Require prior auth | Step therapy | Qty limit | Status |
|---|---|---|---|---|---|
| 3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R]2206092 | 20 / 20 | 0 | 0 | 20 | No prior authorization |
| insulin, regular, human 100 UNT/ML Injectable Solution [Novolin R]311033 | 0 / 20 | 0 | 0 | 0 | Not on formulary |
Product names come from RxNorm (U.S. National Library of Medicine).
Plan-by-plan detail — 3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R]
Novolin R has 2 products in the corpus; this table is for 3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R], the one carried on the most plans. The product table above covers every strength.
| Plan | Contract | Tier | Prior auth | Step therapy | Qty limit |
|---|---|---|---|---|---|
| MCS Classicare Efectivo (HMO) | H5577-005 | 4 | No | No | Yes |
| MCS Classicare En Tu Hogar (HMO) | H5577-043 | 4 | No | No | Yes |
| MCS Classicare Essential (HMO-POS) | H5577-008 | 4 | No | No | Yes |
| MCS Classicare Estrella (HMO) | H5577-060 | 4 | No | No | Yes |
| MCS Classicare Excede (HMO) | H5577-056 | 4 | No | No | Yes |
| MCS Classicare Excede (HMO) | H5577-056 | 4 | No | No | Yes |
| MCS Classicare Excede (HMO) | H5577-056 | 4 | No | No | Yes |
| MCS Classicare Firme (HMO) | H5577-042 | 4 | No | No | Yes |
| MCS Classicare Hero (HMO) | H5577-044 | 4 | No | No | Yes |
| MCS Classicare InteliCare (HMO) | H5577-052 | 4 | No | No | Yes |
| MCS Classicare Platino 185 (HMO D-SNP) | H5577-062 | 4 | No | No | Yes |
| MCS Classicare Platino Ideal (HMO D-SNP) | H5577-002 | 4 | No | No | Yes |
| MCS Classicare Platino Maximo (HMO D-SNP) | H5577-054 | 4 | No | No | Yes |
| MCS Classicare Platino Maximo (HMO D-SNP) | H5577-054 | 4 | No | No | Yes |
| MCS Classicare Platino Maximo (HMO D-SNP) | H5577-054 | 4 | No | No | Yes |
| MCS Classicare Platino Progreso (HMO D-SNP) | H5577-017 | 4 | No | No | Yes |
| MCS Classicare Platino Superior (HMO D-SNP) | H5577-061 | 4 | No | No | Yes |
| MCS Classicare Platino Total (HMO D-SNP) | H5577-046 | 4 | No | No | Yes |
| MCS Classicare Primero (HMO C-SNP) | H5577-038 | 4 | No | No | Yes |
| MCS Classicare RxMax (HMO) | H5577-059 | 4 | No | No | Yes |
- Effective
- 2026-06-30
- Retrieved
- 2026-07-19
- SHA-256
- e626e6bcda1aa6a0071e6f0df6bafe686ae41842cdf0a9feffdc649b6d3ff3ae
We publish the hash of the exact file we ingested so any answer can be audited against the bytes CMS served that day.
Novolin R at other payers
Administrative information only. Benefily reports what a payer has published in its own prior-authorization policy as of the effective date shown. It is not medical advice, not a coverage or payment guarantee, and not an authorization. Requirements vary by plan, place of service and member benefits — always verify with the payer before rendering service.